Get the FISH Rennid Evissergorp - The Presbyterian Church of Toms River -
FISH Rennid Evissergorp Our Annual Progressive Dinner experienced in our own unique wacky way backwards Wednesday April 3 2013 7 00 PM to 9 00 PM Beginning at PCTR in
Fellowship Hall Come join us for a night of great food fun and fellowship Parental Consent Release Form for the Rennid Evissergorp Name Phone Address In signing this form I hereby
give permission for my child to participate in The Presbyterian Church of Toms River s Rennid Evissergorp April 3 2013. I also grant permission for my child to be transported in
privately owned or rented vehicles. Further I will not hold the church staff nor youth leaders nor any of its representatives or trustees responsible for any injuries sustained during the course
of activities during this trip. In case of medical emergency I understand that every effort will be made to contact the parents for guardian of the young person. In event that
I cannot be reached I hereby give permission to the physician selected by the staff or person designated by the staff to administer hospital/surgery/treatment for my child as named herein. Family
Health Insurance Company Policy Number Signature Date Alt. Tel. signature of parent or guardian Any medical or other health related problems that we should be aware of.